Based on public Medicaid payment data.
Pedro Miguel Sandoval
Medicaid Provider in Rialto, CA
Type
Individual Provider
Address
432 N Riverside Ave
Rialto, CA 923765012
Phone
9098742121
NPI
1194941245
Procedures
4
Total Claims
2K
Patients Served
1.5K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Cleaning & Exam | $64.82 | 1,175 | 1,168 |
| Dental Filling | $59.60 | 676 | 233 |
| Dental Crown | $476.00 | 83 | 57 |
| Root Canal | $463.40 | 16 | 14 |
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